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Ankle Pain

Peroneal Tendonitis Advice

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Posted 6 months ago

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Last updated: 03/12/2022

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by James McCormack

How long does it take for Peroneal Tendonitis to heal?

When Peroneal Tendonitis is treated by a Physical Therapist, it takes 6-12 weeks to heal. Treatment needs to be adhered to and in most cases, symptoms will heal by the 6-week mark.

In chronic cases of Peroneal Tendonitis, it takes up to 12 weeks to heal after a thorough rehabilitation protocol that addresses strength and biomechanical issues.

What does Peroneal Tendonitis feel like?

Peroneal Tendonitis feels like a dull ache on the outer side of your ankle and foot. It can be a sharper pain after activity and reduce to a dull ache with rest. It feels stiff first thing in the morning for up to an hour and it is pain-free at rest.

It is uncommon to feel numbness or pins and needles while there should be a mechanical pattern i.e. pain is worse with activity and subsides with rest.

Diagram of what peroneal tendonitis feels like

How do I know if I have Peroneal Tendonitis?

Peroneal Tendonitis is usually gradual in onset rather than a sudden presentation. It is mechanical in nature meaning that causes often include an increase in activity levels or a change in footwear.

The Peroneal Tendons are painful to touch and pain can be provoked by resisting dorsiflexion and plantarflexion of your foot.

Picture pointing to the location of pain of peroneal tendonitis

Do I need Crutches for Peroneal Tendonitis?

It is unlikely that you will need crutches. It is not usually too painful to walk on and usually, a walking boot is better than crutches to rest the foot.

Should I massage Peroneal Tendonitis?

You can massage Peroneal Tendonitis, as it will provide some short-term pain relief. However, this is not a long-term solution. If you think you have the symptoms of Peroneal Tendonitis you should see a Physical Therapist for a clinical examination.

Peroneal Tendonitis exercises to avoid?

Impact exercises such as running, hopping, and jumping should be avoided for Peroneal Tendonitis. If possible you should avoice activites such as hiking or uphill walking.

We have written an article with the best exercises for Peroneal Tendonitis here.

Picture of someone jumping

What should I do if Peroneal Tendonitis is getting worse?

If you have Peroneal Tendonitis and it is getting worse, you should see a Physical Therapist for an examination. They will create a rehabilitation for your foot consisting of strengthening exercises, advice on footwear, insoles, and massage.

If you have tried Physical Therapy and your symptoms continue to worsen, you can see a Sports Medicine Doctor for an injection. If this is unsuccessful, Peroneal Tendonitis surgery involving Peroneal Tendon debridement may be required.

Physiotherapy with James McCormack

This is not medical advice and we recommend a consultation with a medical professional such as James McCormack to achieve a diagnosis. He offers Online Physiotherapy Appointments for £45.

Other Related Articles 

Peroneal Tendonitis Exercises
Peroneal Tendonitis: Symptoms and Treatment
Dancer’s Heel 

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